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TILAK RAJ BABA
NPI 1093058307
Internal Medicine in Winston Salem, NC

Active since April 04, 2013PECOS EnrolledAccepts Medicare Assignment
86.48/100
CMS Quality Rating
195 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103(336) 768-6211(336) 768-6869 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2024, Aug 14, 2021, Jul 1, 2021 and 1 more (4 updates tracked since 2016).

About Tilak Raj Baba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TILAK RAJ BABA (NPI 1093058307) is an individual internal medicine provider in Winston Salem, North Carolina, licensed in North Carolina (202203303) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093058307
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTILAK RAJ BABA
Location Address195 KIMEL PARK DR STE 200Winston Salem, NC 27103-6967
Mailing Address195 Kimel Park Dr Ste 200Winston Salem, NC 27103-6967 · (336) 768-6211 · Fax (336) 768-6869
Phone(336) 768-6211
Fax(336) 768-6869
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 4, 2013
Last NPPES UpdateAugust 7, 20244 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1093058307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 202203303
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License MD044449 (DC), D0081092 (MD)
195 KIMEL PARK DR STE 200, Winston Salem, NC 27103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tilak Raj Baba is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638466758
PECOS Enrollment IDI20230324001427
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
930 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
33 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services27 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
24 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Novant Health Thomasville Medical Center

Acute Care Hospitals · Thomasville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340085
Location207 Old Lexington Rd Box 789Thomasville, NC 27360 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.58
Promoting Interoperability100
Improvement Activities40
Cost67.37

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARCUM G GILLIS MD
Internal Medicine (Gastroenterology)
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6211
DR. CHARLES PETER KATOPES III M.D.
Internal Medicine (Gastroenterology)
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6211
INGRID GONZALEZ M.D.
Internal Medicine (Gastroenterology)
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6211
DR. JERALD LUKE WINTER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6211
TREVOR SPURLING PA
Physician Assistant
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6211
MURAT KEMAL AKDAMAR MD
Internal Medicine (Gastroenterology)
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6211
DR. JEREMY THOMAS GILLESPIE M.D.
Internal Medicine
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6211
MR. GREGORY ALLEN BARTON PA-C
Physician Assistant
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tilak Baba's NPI number?

The NPI number for Tilak Baba is 1093058307. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Tilak Baba located?

Tilak Baba practices at 195 Kimel Park Dr Ste 200, Winston Salem, NC 27103. The listed phone number is (336) 768-6211.

What is Tilak Baba's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tilak Baba enrolled in Medicare?

Yes. Tilak Baba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tilak Baba accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Tilak Baba as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tilak Baba affiliated with any hospitals?

According to CMS data, Tilak Baba is affiliated with Novant Health Forsyth Medical Center and Novant Health Thomasville Medical Center.

When was this NPI record last updated?

The NPPES record for Tilak Baba was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.